Literature DB >> 16341745

Complex pharmaceutical care intervention in pulmonary care: part B. Patient opinion and process survey.

Ada G G Stuurman-Bieze1, Mirjam E A P Kokenberg, Hilde Tobi, Willem O de Boer, Jasperien E van Doormaal, Lolkje T W Jong-van den de Berg, Th F J Tromp.   

Abstract

OBJECTIVE: The IPMP study (Interventions on the principle of Pulmonary Medication Profiles) investigates and describes the results of complex pharmaceutical care interventions provided to selected pulmonary patients to improve their drug use. This paper describes the patients' opinions about the care provided and the results of the intervention.
METHOD: Questionnaires investigating patients' opinions about provided pharmaceutical care were sent to 185 patients participating in the IPMP study after the intervention by their pharmacists had been finished. One year after the start of the intervention, patients were invited to a final consultation by their pharmacists to evaluate their drug use and their symptoms (n = 138). At this point in time pharmacists investigated the knowledge of the patients about the medication and their inhaler technique again. MAIN OUTCOME MEASURE: The influence of the intervention on patients' symptoms. Change in drug-related problems, knowledge and skills concerning pulmonary medication after intervention. Satisfaction of the patients with the provided pharmaceutical care.
RESULTS: In total 141 out of 185 patients completed the questionnaire. Patients were satisfied with the intervention by their pharmacists and considered it important. The majority (67%) reported that they had learned more about their medication or the inhaler technique, resulting in significantly improved coping behaviour with their pulmonary medication compared with patients who valued the intervention as a nice conversation with their pharmacist only. Patients with improved ability to cope reported statistically significantly fewer symptoms compared with patients reporting no change in behaviour (chi-square test, P < 0.05). In the final consultation of 138 patients, pharmacists observed increased knowledge and skills and decreased drug-related problems. The patients concerned were pleased with the change in treatment and were more satisfied with their current medication as compared with their earlier reports.
CONCLUSION: Patients can be influenced effectively by the tailored intervention of pharmacists resulting in improved ability to cope with pulmonary medication and in fewer reported adverse effects and symptoms. Patients attributed these results to the intervention of the pharmacists.

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Year:  2005        PMID: 16341745     DOI: 10.1007/s11096-005-7113-8

Source DB:  PubMed          Journal:  Pharm World Sci        ISSN: 0928-1231


  16 in total

1.  Complex pharmaceutical care intervention in pulmonary care: part A. The process and pharmacists' professional satisfaction.

Authors:  Ada G G Stuurman-Bieze; Willem O de Boer; Mirjam E A P Kokenberg; Jacqueline G Hugtenburg; Lolkje T W de Jong-van den Berg; Th F J Tromp
Journal:  Pharm World Sci       Date:  2005-10

2.  Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study.

Authors:  K F Rabe; P A Vermeire; J B Soriano; W C Maier
Journal:  Eur Respir J       Date:  2000-11       Impact factor: 16.671

3.  Computer-assisted medication review for asthmatic patients as a basis for intervention. Constructing and validating an algorithmic computer instrument in pharmacy practice.

Authors:  Ada G G Stuurman-Bieze; Paul B van den Berg; T F J Tromp; Lolkje T W de Jong-van den Berg
Journal:  Pharm World Sci       Date:  2004-10

4.  Opportunities and responsibilities in pharmaceutical care.

Authors:  C D Hepler; L M Strand
Journal:  Am J Hosp Pharm       Date:  1990-03

5.  Patients' perceived benefit from and satisfaction with asthma-related pharmacy services.

Authors:  W A Kradjan; R Schulz; D B Christensen; A Stergachis; S Sullivan; D S Fullerton; L Sturm; G Schneider
Journal:  J Am Pharm Assoc (Wash)       Date:  1999 Sep-Oct

6.  How does patient education and self-management among asthmatics and patients with chronic obstructive pulmonary disease affect medication?

Authors:  F Gallefoss; P S Bakke
Journal:  Am J Respir Crit Care Med       Date:  1999-12       Impact factor: 21.405

Review 7.  Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary.

Authors:  R A Pauwels; A S Buist; P M Calverley; C R Jenkins; S S Hurd
Journal:  Am J Respir Crit Care Med       Date:  2001-04       Impact factor: 21.405

8.  Evaluation of two different educational interventions for adult patients consulting with an acute asthma exacerbation.

Authors:  J Côté; D M Bowie; P Robichaud; J G Parent; L Battisti; L P Boulet
Journal:  Am J Respir Crit Care Med       Date:  2001-05       Impact factor: 21.405

9.  Improving drug therapy for patients with asthma--part 1: Patient outcomes.

Authors:  H Herborg; B Soendergaard; B Froekjaer; L Fonnesbaek; T Jorgensen; C D Hepler; T J Grainger-Rousseau; B K Ersboell
Journal:  J Am Pharm Assoc (Wash)       Date:  2001 Jul-Aug

10.  Assessment of a community pharmacy-based program for patients with asthma.

Authors:  M Cordina; J C McElnay; C M Hughes
Journal:  Pharmacotherapy       Date:  2001-10       Impact factor: 4.705

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  2 in total

1.  Complex pharmaceutical care intervention in pulmonary care: part A. The process and pharmacists' professional satisfaction.

Authors:  Ada G G Stuurman-Bieze; Willem O de Boer; Mirjam E A P Kokenberg; Jacqueline G Hugtenburg; Lolkje T W de Jong-van den Berg; Th F J Tromp
Journal:  Pharm World Sci       Date:  2005-10

Review 2.  Measurement of patient satisfaction with community pharmacy services: a review.

Authors:  Pradnya Naik Panvelkar; Bandana Saini; Carol Armour
Journal:  Pharm World Sci       Date:  2009-07-09
  2 in total

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